Tan Sean, Ramzy John, Burgess Sonya, Zaman Sarah
MonashHeart, Monash Health, Monash Medical Centre, 246 Clayton Road, Clayton, Melbourne, Victoria, 3168, Australia.
The University of New South Wales, Sydney, NSW, Australia.
Curr Treat Options Cardiovasc Med. 2020 Feb 8;22(2):6. doi: 10.1007/s11936-020-0806-4.
This paper provides a synopsis of the best evidence to guide bifurcation percutaneous coronary intervention (PCI), with a focus on recent studies. This is with the aim of guiding the interventional cardiologist in choosing the best, evidence-based technique, to treat commonly encountered coronary bifurcations.
Current evidence supports the use of provisional stenting for most anatomically suitable bifurcation lesions. Newer techniques for side branch protection in provisional stenting have been developed. When a two-stent strategy is required, use of a double-kissing crush technique is favoured, particularly in left main bifurcations. For bifurcation PCI, as in all complex procedures, intravascular imaging plays a key adjunctive role in improving procedural success. PCI for coronary bifurcation lesions is an ever-growing field with significant advancements in techniques and technology.
本文概述了指导分叉病变经皮冠状动脉介入治疗（PCI）的最佳证据，重点关注近期研究。目的是指导介入心脏病学家选择最佳的、基于证据的技术，以治疗常见的冠状动脉分叉病变。
目前的证据支持对大多数解剖结构合适的分叉病变采用临时支架置入术。已开发出临时支架置入术中保护分支的新技术。当需要双支架策略时，尤其在左主干分叉病变中，双吻挤压技术更受青睐。对于分叉病变PCI，与所有复杂手术一样，血管内成像在提高手术成功率方面起着关键的辅助作用。冠状动脉分叉病变的PCI是一个不断发展的领域，在技术和工艺方面有重大进展。
